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1164554473
BENJAMIN MATSUMOTO
CHICAGO, IL
NPI
1164554473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
174400000X Specialist
(Licence: IL 036 063322)
Enumeration Date
2007-03-12
Last Update Date
2014-05-13
Business Address
Mr. BENJAMIN MATSUMOTO MD
2900 N LAKE SHORE DR MEDICAL STAFF OFFICE PRESENCE ST. JOSEPH HOSPITAL
CHICAGO, IL 60657-5640
Phone number: 773-665-3000
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Mailing Address
Mr. BENJAMIN MATSUMOTO MD
2900 N LAKE SHORE DR MEDICAL STAFF OFFICE PRESENCE ST. JOSEPH HOSPITAL
CHICAGO, IL 60657-5640
Phone number: 773-665-3000
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